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NASSETTA PEDIATRIC DENTISTRY
NPI 1609374164
Clinic/Center - Dental in Cullman, AL

Active since January 30, 2018
1705 MAIN AVE SW STE A, CULLMAN, AL 35055(256) 739-6000 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nassetta Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NASSETTA PEDIATRIC DENTISTRY (NPI 1609374164) is a healthcare organization registered as a dental in Cullman, Alabama and active in the NPI registry since January 2018. The organization lists Richard Chambliss, Owner, as its authorized official.

NPPES Registry Identity

NPI1609374164
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES OF CULLMAN, LLC
Location Address1705 MAIN AVE SW STE ACullman, AL 35055-7207
Mailing Address1705 Main Ave Sw Ste ACullman, AL 35055-7207 · (256) 739-6000
Phone(256) 739-6000
Organization SubpartNo
Authorized OfficialRichard ChamblissOwner · (205) 453-0314
Enumeration DateJanuary 30, 2018
✔ NPI 1609374164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AL · 0005181
1705 MAIN AVE SW STE A, Cullman, AL 35055
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Other Names 1

Doing Business AsNassetta Pediatric Dentistry

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA MARIA LOPEZ DMD
Dentist
1705 MAIN AVE SW STE A
CULLMAN, AL 35055
Cullman County (256) 856-9901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Dental Associates Of Cullman, LLC's NPI number?

The NPI number for Pediatric Dental Associates Of Cullman, LLC is 1609374164. It was assigned to this organization in the NPPES registry on January 30, 2018. The provider is doing business as Nassetta Pediatric Dentistry.

Where is Pediatric Dental Associates Of Cullman, LLC located?

Pediatric Dental Associates Of Cullman, LLC is located at 1705 Main Ave SW Ste A, Cullman, AL 35055. The listed phone number is (256) 739-6000.

What is Pediatric Dental Associates Of Cullman, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Associates Of Cullman, LLC was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.